340B Drug Pricing Program Database
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ALBERTSONS LLC
CAH271332-00 GLENDIVE MEDICAL CENTER INC
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Covered Entity Details
Entity Name
GLENDIVE MEDICAL CENTER INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271332-00
Entity Address
202 PROSPECT DRIVE
GLENDIVE, MT 59330
Medicare Provider Number
271332
Participating Start Date
4/1/2015
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
OSCO PHARMACY #4023
307 NORTH HARMON
GLENDIVE, MT 59330
Pharmacy Comments
Contract Details
Approval Date
7/1/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Parker Powell, CEO
(406) 345-3302
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/1/2016
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